Individual provider · Type 1 NPI

Kimberly Joy Nickey, R.N.

Registered Nurse · Port Jefferson, NY

NPI number 1063716736 Active

Practice location

162 N Country Rd
Port Jefferson, NY 11777-2120

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X634894-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1063716736

Kimberly Joy Nickey, R.N.'s National Provider Identifier is 1063716736, issued on Jan 10, 2011. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jan 10, 2011.